Pansinusitis, complicated by extensive osteonecrosis of the upper jaw and secondary rhinogenic intracerebral abscess of the right fronto-parietal region of the brain after a COVID-19 (clinical case)

Author:

Podolsky V. V.1,Yarygina E. N.1,Kirpichnikov M. V.1,Khimich I. V.1,Serbin A. S.1,Mukhaev Kh. Kh.1,Efimova E. V.1,Aleshanov K. A.2

Affiliation:

1. Volgograd State Medical University

2. Мedical dental center on Zelenogradskaya Co.

Abstract

The number of complications of new coronavirus infection (COVID-19) has been growing in clinics of maxillofacial surgery and otorhinolaryngology in the past two years. Among them, lesions of the jaw bones, nasal bones and paranasal sinuses are predominate. As a result of the studies, it was found that with coronavirus infection, multiple microvascular and macrovascular disorders occur, resulting in necrosis of the jaws and paranasal sinuses, often leading to life-threatening conditions, due to the anatomical proximity of brain structures. The article presents a cli-nical observation of a patient with extensive osteonecrosis of the upper jaw, which developed against the background of postcovid purulent pasinusitis, complicated by a secondary rhinogenic intracerebral abscess of the right fronto-parietal region of the brain. The provoking factors, the most characteristic symptoms, the X-ray picture at different stages of the disease, the tactics of treating such complications are considered.

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference17 articles.

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4. Fomichev E.V., Kirpichnikov M.V., Yarygina E.N. et al. Peculiarities of etiopathogenesis and treatment of sluggish purulent-inflammatory diseases of the maxillofacial region in immunocompromised patients. Lekarstvennyj vestnik. 2019. V. 13. No. 3 (75): 9-13. (In Russ.)

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